Provider Demographics
NPI:1770032526
Name:HOLLINGSHEAD, ANDRIA (LMHP, LADC, CPC, NCC)
Entity Type:Individual
Prefix:
First Name:ANDRIA
Middle Name:
Last Name:HOLLINGSHEAD
Suffix:
Gender:F
Credentials:LMHP, LADC, CPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 W SIERRA WAY
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-6034
Mailing Address - Country:US
Mailing Address - Phone:402-515-5059
Mailing Address - Fax:509-381-3536
Practice Address - Street 1:8619 N DIVISION ST STE B
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5944
Practice Address - Country:US
Practice Address - Phone:140-251-5505
Practice Address - Fax:509-381-3536
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1181101YA0400X
NE4842101YM0800X
NE2316101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health